Kettisha Annetrice Williams in Tupelo - Mental Health
Kettisha Annetrice Williams - NPI 1720206188
Kettisha Annetrice Williams is a Mental Health in Tupelo, Mississippi. Kettisha Annetrice Williams practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Kettisha Annetrice Williams is 1720206188. The last update date is 2007-07-08.
Kettisha Annetrice Williams's current location address is 2434 S Eason Blvd, Tupelo, Mississippi. You can contact this provider via phone number 6628441717 and fax number 6626806416. The mailing address for Kettisha Annetrice Williams is 2434 S Eason Blvd, Tupelo, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kettisha Annetrice Williams |
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Address | 2434 S Eason Blvd, Tupelo, Mississippi |
Phone Number | 6628441717 |
Fax Number | 6626806416 |
Sole Proprietor | N |
Credentials | BA |
NPI Number Detail
NPI Number | 1720206188 |
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Provider Enumeration Date | 2007-04-23 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2434 S Eason Blvd |
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City | Tupelo |
State | Mississippi (MS) |
Post Code | 388046942 |
Phone Number | 6628441717 |
Fax Number | 6626806416 |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identification code assigned to Kettisha Annetrice Williams by the Centers for Medicare & Medicaid Services?
The Kettisha Annetrice Williams has been issued the NPI (National Provider Identifier) 1720206188, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kettisha Annetrice Williams?
The Kettisha Annetrice Williams is situated at 2434 S Eason Blvd, in the city of Tupelo, state of MS, with the zip code 388046942.
What is Kettisha Annetrice Williams's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kettisha Annetrice Williams's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date was the 1720206188 assigned to Kettisha Annetrice Williams?
The Kettisha Annetrice Williams was issued its 1720206188 on 2007-04-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Kettisha Annetrice Williams's information last updated?
The Kettisha Annetrice Williams's information was last updated on 2007-07-08.
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